Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $181.97	Facility		$151.36	$151.36	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $398.11	Professional		$87.10	$87.10	$398.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,318.26 / $1,778.28	Facility		$933.25	$1,318.26	$1,778.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $288.40 / $10,000.00	Professional		$50.12	$288.40	$10,000.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $389.05 / $831.76	Professional		$263.03	$389.05	$831.76
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $323.59 / $338.84	Professional		$316.23	$323.59	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $2,511.89	Professional		$30.20	$30.20	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $380.19 / $416.87	Professional		$363.08	$380.19	$416.87